@article{fdi:010061249,
  title = {{F}irst evidence of simultaneous circulation of three different dengue virus serotypes in {A}frica},
  author = {{C}aron, {M}. and {G}rard, {G}. and {P}aupy, {C}hristophe and {M}ombo, {I}. {M}. and {N}so, {B}. {B}. {B}. and {K}assa, {F}. {R}. {K}. and {N}koghe, {D}. and {L}eroy, {E}ric},
  editor = {},
  language = {{ENG}},
  abstract = {{G}abon, in {C}entral {A}frica, was affected for the first time in 2007 and then in 2010 by simultaneous outbreaks of chikungunya and {D}engue serotype 2 ({DENV}-2) viruses. {T}hrough the national surveillance of dengue-like syndromes between 2007 and 2010, we observed continuous circulation of {DENV}-2 in a southward movement. {T}his rapid spread of {DENV}-2 was associated with the emergence of {DENV}-1 in 2007 and {DENV}-3 in 2010. {I}nterestingly, we detected six {DENV}-2 infected patients with hemorrhagic signs during the second outbreak in 2010. {A}lthough these cases do not meet all standard {WHO} criteria for severe {D}engue with hemorrhage (formerly {DHF}), this is the first report of several dengue fever cases associated with hemorrhagic signs during a simultaneous circulation of different {DENV} serotypes in {A}frica. {T}ogether, these findings suggest that {DENV} is becoming more widely established on this continent and that {DHF} will likely become a serious public-health problem in the near future.},
  keywords = {{GABON}},
  booktitle = {},
  journal = {{P}los {O}ne},
  volume = {8},
  numero = {10},
  pages = {e78030},
  ISSN = {1932-6203},
  year = {2013},
  DOI = {10.1371/journal.pone.0078030},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061249},
}